Brodstone Memorial Hospital - Medicare Primary Care in Superior, NE

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Brodstone Memorial Hospital is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Superior, Nebraska. The current practice location for Brodstone Memorial Hospital is 525 E 11th St, Superior, Nebraska. For appointments, you can reach them via phone at (402) 879-4781. The mailing address for Brodstone Memorial Hospital is Po Box 407, Superior, Nebraska and phone number is (402) 879-4781.

Brodstone Memorial Hospital is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1073590626. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (402) 879-4781.

Contact Information

Brodstone Memorial Hospital
525 E 11th St
Superior
NE 68978-1101
(402) 879-4781
(402) 879-3365

Map and Direction


Primary Care Clinic Profile

Full NameBrodstone Memorial Hospital
SpecialityClinic/Center
Location525 E 11th St, Superior, Nebraska
Authorized Official Name and PositionTreg Vyzourek (CEO)
Authorized Official Contact4028793281
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Brodstone Memorial Hospital
Po Box 407
Superior
NE 68978-0407

Ph: (402) 879-4781		Brodstone Memorial Hospital
525 E 11th St
Superior
NE 68978-1101

Ph: (402) 879-4781

NPI Details:

NPI Number1073590626
Provider Enumeration Date12/26/2005
Last Update Date02/12/2025

Medicare PECOS Information:

Medicare PECOS PAC ID4082513015
Medicare Enrollment IDO20040423000949

Medical Identifiers

Medical identifiers for Brodstone Memorial Hospital such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073590626NPI-NPPES
10025177900MedicaidNE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Secondary
207RE0101XInternal Medicine - Endocrinology, Diabetes & Metabolism (* (Not Available))Secondary
207T00000XNeurological Surgery (* (Not Available))Secondary
2084A2900XPsychiatry & Neurology - Neurocritical Care (* (Not Available))Secondary
2084N0400XPsychiatry & Neurology - Neurology (* (Not Available))Secondary
2084V0102XPsychiatry & Neurology - Vascular Neurology (* (Not Available))Secondary
208M00000XHospitalist (* (Not Available))Secondary
363A00000XPhysician Assistant (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary
261QR1300XClinic/center - Rural Health (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Brodstone Memorial Hospital acts as a billing entity for following providers:
Provider NameBarry Bohlen
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1710928130
PECOS PAC ID: 2264330232
Enrollment ID: I20031229000707
Provider NameRaymond D Heller
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1124137039
PECOS PAC ID: 7214825025
Enrollment ID: I20040304000882
Provider NameTeresa B Frahm
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477530020
PECOS PAC ID: 5698702082
Enrollment ID: I20050718000452
Provider NameJulie A Theis
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1295712842
PECOS PAC ID: 0042247439
Enrollment ID: I20050718000456
Provider NameRyan C Ramaekers
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1174539936
PECOS PAC ID: 8022017508
Enrollment ID: I20070727000513
Provider NameTimothy D Blecha
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1790777936
PECOS PAC ID: 9234273988
Enrollment ID: I20100218000155
Provider NameAlisha Fangmeyer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568756609
PECOS PAC ID: 3476721390
Enrollment ID: I20110720000653
Provider NamePravardhan R Birthi
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1013161082
PECOS PAC ID: 4385887926
Enrollment ID: I20130829000071
Provider NameJennifer M Leiting
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407394935
PECOS PAC ID: 7113202045
Enrollment ID: I20170316000181
Provider NameTara M Kirkpatrick
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1518227958
PECOS PAC ID: 2163653114
Enrollment ID: I20180629001580
Provider NameKendra E Luebke
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1669714275
PECOS PAC ID: 9830489665
Enrollment ID: I20181030000128
Provider NameLillie Lueke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831708817
PECOS PAC ID: 7719303775
Enrollment ID: I20200820002722
Provider NameSusan M Palmer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497396923
PECOS PAC ID: 6103243381
Enrollment ID: I20200902001976
Provider NameMichelle D Schiel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427496843
PECOS PAC ID: 3274855101
Enrollment ID: I20210203002560
Provider NameCasey T Zoltenko
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1942843321
PECOS PAC ID: 8628510898
Enrollment ID: I20240604002286
Provider NameBeverly C Babcock
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1124246038
PECOS PAC ID: 7618419276
Enrollment ID: I20240611001398

Reviews and Comments


Clinic/Center in Superior, NE

Teachworth Chiropractic Llc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 3056 Highway 14, Superior, NE 68978
Phone: 785-875-3010    Fax: 785-875-4746

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.